Department of Genetics and Complex Diseases, Harvard School of Public Health, Boston, MA, United States.
Exp Gerontol. 2013 Oct;48(10):1043-8. doi: 10.1016/j.exger.2013.01.009. Epub 2013 Feb 1.
Dietary or calorie restriction (DR, CR), defined as reduced food intake without malnutrition, imparts many benefits in model organisms. Extended longevity is the most popularized benefit but the least clinically relevant due to the requirement for long-term food restriction. DR also promotes stress resistance and metabolic fitness. Emerging data in experimental models and in humans indicate that these benefits occur rapidly upon initiation of DR, suggesting potential clinical relevance. Here we review data on the ability of short-term DR to induce beneficial effects on clinically relevant endpoints including surgical stress, inflammation, chemotherapy and insulin resistance. The encouraging results obtained in these preclinical and clinical studies, and the general lack of mechanistic understanding, both strongly suggest the need for further research in this emerging area.
饮食限制或热量限制(DR,CR)定义为在没有营养不良的情况下减少食物摄入,在模式生物中带来许多益处。延长寿命是最受欢迎的好处,但由于需要长期限制食物摄入,与临床相关性最小。DR 还能促进抗应激和代谢适应性。实验模型和人类中的新数据表明,这些益处在开始 DR 后迅速发生,提示其具有潜在的临床相关性。在这里,我们回顾了短期 DR 诱导对临床相关终点有益作用的数据,包括手术应激、炎症、化疗和胰岛素抵抗。这些临床前和临床研究中获得的令人鼓舞的结果,以及对机制理解的普遍缺乏,都强烈表明需要在这一新兴领域进行进一步研究。